Eleven cases of portal hypertension associated by liver cirrhosis and extrahepatic portal block are presented.
Major symptoms and signs are esophageal varices bleeding, splenomegaly, secon-dary hypersplenism and ascitis.
Two types of portal-systanic shunt procedures including eight cases of end to side splenorenal shunt two cases of portacaval shunt, end to side anastomosis were applied. and a case of transesophageal varix ligation were perfomed.
Nine cases of elective portal-systemic shunt were performed as elective surgical therapy. and a cases of portacaval shunt and a case of transesophageal varix ligation were performed as specific emergency surgical therapy.
Elective portal-systemic shunts had brought excellent result while emergency surg-ical therapy had brought poor result.
Splenomegaly and secondary hypersplenism were earlier remarkable symptoms of portal hypertension in author´s experiences.
And improvement of hypersplenism following splenorenal shunt is dramatically excellent.
Post operative complictions are as follow, 2 cases of post operative hepatic coma, a case of wound infection, a case of wound disruption, a case of ascitis and a case of post shunt encephalopathy respectively.
Over all mortality of portal-systemic shunt is one case, 9%, but mortality of elective portal-systemic shunt is zero.
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